NPI | 1770339707 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL APRN11032977) |
Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: FL Pending) |
Enumeration Date | 2024-04-29 |
Last Update Date | 2024-07-11 |